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SCHOOL MEDICATION AUTHORIZATION FORM Name of Child: Date of birth: Kazoo School Phone: (269) 3453239FAX # (269) 3453235Michigan School Code 49423 allows designated school personnel to assist students

How to fill out school medication authorization form

How to fill out school medication authorization form

1. To fill out a school medication authorization form, follow these steps:
2. Start by entering the student's name, date of birth, and grade level on the form.
3. Indicate the name of the medication that needs to be administered at school.
4. Provide detailed instructions on how the medication should be given, including dosage and frequency.
5. Specify any special storage requirements or instructions for the medication.
6. If the medication needs to be administered for a limited period, state the start and end dates.
7. Include any additional information or special considerations for the school staff, such as possible side effects or allergies.
8. Sign and date the form to attest to the accuracy of the information provided.
9. If necessary, have a healthcare provider or physician sign and provide their contact information.
10. Make a copy of the completed form for your records before submitting it to the school.

Who needs school medication authorization form?

1. The school medication authorization form is typically needed for students who require medication to be administered during school hours.
2. It is necessary for students with chronic illnesses, such as diabetes or asthma, who may need regular medication or emergency medication at school.
3. Students with severe allergies or other medical conditions that may require immediate treatment also require this form.
4. It is essential for ensuring the safety and well-being of the students while they are at school.

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What is school medication authorization form?

The school medication authorization form is a document that allows parents or guardians to authorize school personnel to administer specific medications to their child during school hours.

Who is required to file school medication authorization form?

Parents or guardians of students who require medication during school hours must file the school medication authorization form.

How to fill out school medication authorization form?

To fill out the school medication authorization form, complete all required sections including the student's information, medication details, dosage instructions, and parent or guardian's signature.

What is the purpose of school medication authorization form?

The purpose of the school medication authorization form is to ensure that students receive necessary medications safely and with proper consent while at school.

What information must be reported on school medication authorization form?

The form must include the student's name, medication name, dosage, administration times, potential side effects, and emergency contact information of the parent or guardian.